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碘造影剂诱发的史蒂文斯-约翰逊综合征:一种常见影像剂罕见并发症的报告。

Iodinated contrast-induced Stevens-Johnson syndrome: A report of a rare complication for a common imaging agent.

作者信息

Carrera Daniel, Ulloa Jesus G

机构信息

David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA.

Division of Vascular and Endovascular Surgery, Department of Surgery, Greater Los Angeles Veteran Affairs Healthcare System, Los Angeles, CA.

出版信息

J Vasc Surg Cases Innov Tech. 2022 Jul 16;8(3):455-457. doi: 10.1016/j.jvscit.2022.06.015. eCollection 2022 Sep.

Abstract

Steven-Johnson syndrome (SJS) is a rare condition commonly associated with exposure to antibiotics. We have presented the case of a 76-year-old man with end-stage renal disease who had developed SJS after endovascular thrombectomy of hemodialysis access. He had developed epithelial erosions of the mucosal membranes, hemorrhagic bullae to the palmar and plantar surfaces, and erosions of the genitalia. The findings from biopsies of the lip and palm were suggestive of a drug reaction. He developed SJS three times after exposure to iodinated contrast. The one time he did not develop SJS, he had undergone open thrombectomy with no contrast exposure.

摘要

史蒂文斯-约翰逊综合征(SJS)是一种罕见疾病,通常与接触抗生素有关。我们报告了一例76岁终末期肾病男性患者的病例,该患者在血液透析通路血管内血栓切除术术后发生了SJS。他出现了黏膜上皮糜烂、手掌和足底的出血性大疱以及生殖器糜烂。唇部和手掌活检结果提示为药物反应。他在接触碘化造影剂后三次发生SJS。有一次未发生SJS时,他接受了开放性血栓切除术,未接触造影剂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c854/9395747/6c5d7bad56cf/gr1.jpg

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